| NPI | 1235630831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINH VU Owner 718-965-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 138815) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008554) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2020-12-29 |